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1013334515
CLARISSA LYNETTE LOGAN
LANCASTER, CA
NPI
1013334515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-03-21
Last Update Date
2021-12-09
Business Address
CLARISSA LYNETTE LOGAN
44349 LOWTREE AVE STE 117
LANCASTER, CA 93534-4167
Phone number: 661-492-5295
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Mailing Address
CLARISSA LYNETTE LOGAN
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-723-2630
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